MEDICARE: DHHC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1902122047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DHHC LLC

Provider Business Mailing Address
First Line	:	110 W RANDOL MILL RD
Second Line	:	#214
City	:	ARLINGTON
State	:	TX
Zip	:	76011-4611
Country	:	US
Telephone Number	:	817-751-5695
Fax Number	:	817-704-4732

Provider Business Practice Location Address
First Line	:	110 W RANDOL MILL RD
Second Line	:	#214
City	:	ARLINGTON
State	:	TX
Zip	:	76011-4611
Country	:	US
Telephone Number	:	817-751-5695
Fax Number	:	817-704-4732

Authorized Official
Title or Position	:	ADMINISTRATOR / DIRECTOR OF NURSES
Name	:	BRENDA TAE
Credential	:
Telephone Number	:	817-751-5695

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	04/14/2010

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